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首页> 外文期刊>Health education & behavior: the official publication of the Society for Public Health Education >Are Physicians and Patients in Agreement? Exploring Dyadic Concordance
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Are Physicians and Patients in Agreement? Exploring Dyadic Concordance

机译：医生和患者是否同意？探索二进合一

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Dyadic concordance in physician-patient interactions can be defined as the extent of agreement between physicians and patients in their perceptions of the clinical encounter. The current research specifically examined two types of concordance: informational concordance-the extent of agreement in physician and patient responses regarding patient information (education, self-rated health, pain); and interactional concordance-the extent of physician-patient agreement regarding the patient's level of confidence and trust in the physician and the perceived quality of explanations concerning diagnosis and treatment. Using a convenience sample of physicians and patients (N = 50 dyads), a paired survey method was tested, which measured and compared physician and patient reports to identify informational and interactional concordances. Factors potentially related to dyadic concordance were also measured, including demographic characteristics (patient race, gender, age, and education) and clinical factors (whether this was a first visit and physician specialty in family medicine or oncology). The paired survey showed informational discordances, as physicians tended to underestimate patients' pain and overestimate patient education. Interactional discordances included overestimating patients' understanding of diagnosis and treatment explanations and patients' level of confidence and trust. Discordances were linked to patient dissatisfaction with physician listening, having unanswered questions, and feeling the physician had not spent enough time. The paired survey method effectively identified physician-patient discordances that may interfere with effective medical practice; this method may be used in various settings to identify potential areas of improvement in health communication and education.
机译：医患互动中的二元一致性可以定义为医师和患者在对临床遭遇的认识上达成共识的程度。当前的研究专门检查了两种类型的一致性：信息一致性-医师一致同意的程度以及患者对患者信息（教育，自我评估的健康，痛苦）的反应;互动的一致性-医患双方关于患者对医师的信心和信任程度以及对诊断和治疗的解释的感知质量的共识程度。使用医师和患者的便利样本（N = 50个二元组），测试了一种配对调查方法，该方法测量并比较了医师和患者的报告，以识别信息和交互的一致性。还测量了可能与二元一致性有关的因素，包括人口统计学特征（患者种族，性别，年龄和教育程度）和临床因素（无论这是家庭医学或肿瘤科的初诊医师）。配对调查显示信息不一致，因为医生倾向于低估患者的痛苦并高估患者的教育程度。互动不协调包括高估了患者对诊断和治疗解释的理解以及患者的信心和信任水平。不和谐与患者对医生的聆听不满意，有未回答的问题以及感觉医生没有花费足够的时间有关。配对调查方法有效地识别了可能干扰有效医疗实践的医患矛盾。该方法可用于各种环境中，以识别潜在的健康交流和教育领域。

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